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Individual

DR. JERROLD B LEIKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
ENH OMEGA/MEDICAL TOXICOLOGY, 2150 PFINGSTEN ROAD, SUITE 3000, GLENVIEW, IL 60026
(847) 657-1700
(847) 657-1715
Mailing address
ENH OMEGA/MEDICAL TOXICOLOGY, 2150 PFINGSTEN ROAD, SUITE 3000, GLENVIEW, IL 60026
(847) 657-1700
(847) 657-1715

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-062756
IL
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary
336-027292
IL
207R00000X
Internal Medicine Physician
036-062756
IL

Other

Enumeration date
07/12/2006
Last updated
04/26/2021
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